Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | TP907 | KY |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 03761 | KY |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 3631 | TN |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | TP907 | KY |
NPI | 1083818967 |
---|---|
Provider Name | Sandeep Duggal |
First Address | Nashville, TN 37203-6511 |
Second Address | Nashville, TN 37203-6511 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 27/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2749226 | (05) | OH |
FD0270633 | DEA (01) | OH |
P00427835 | MEDICARE RAILROAD (01) | OH |